LAWTON C. JOHNSON SUMMIT MIDDLE SCHOOL. Summit, New Jersey WASHINGTON, DC

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1 LAWTON C. JOHNSON SUMMIT MIDDLE SCHOOL Summit, New Jersey WASHINGTON, DC MONDAY TUESDAY JUNE 4-5, 2018

2 EIGHTH GRADE WASHINGTON, DC, TRIP INFORMATION NIGHT AGENDA 1. The Itinerary 2. Philosophy 3. General Information 4. Cost/Fund-raising 5. Timelines 6. Questions

3 WASHINGTON, DC, ITINERARY MONDAY, JUNE 4, :00 AM Arrival - Main Gym/Mueller's Gym - Luggage Check 6:30 AM Depart from Middle School SHARP!! 9:45 AM Rest Stop at Maryland House 10:45 AM Bag Lunch on Bus 11:00 AM Photograph at base of Capitol 12:00 PM Arrive at Arlington National Cemetery 12:30 PM Board Trams at Arlington Visitors' Center 12:45 PM Arrive at Tomb of the Unknowns 1:00 PM Changing of the Guard Ceremony 1:15 PM Wreath Laying Ceremony 2:00 PM Depart from Arlington National Cemetery 2:10 PM Arrive at Marine Memorial 2:45 PM Arrive and walk through FDR Memorial and MLK 4:15 PM Groups on Buses 1-4 tour Museum of Natural History or American History 4:15 PM Groups on Buses 5-7 tour Museum of American History or Natural History 5:30 PM Depart from Museums 6:15 PM Arrive at National 4-H Center 6:15 PM Buses 1, 2, 3, and 4 cookout at National 4-H Center 6:15 PM Buses 5, 6, and 7 move into rooms and settle in 6:30 PM Buses 1, 2, 3, and 4 move into rooms and settle in 6:30 PM Buses 5, 6, and 7 cookout at National 4-H Center 8:15-10:00 PM Dance at National 4-H Center 10:30 PM Everyone in Rooms for Night TUESDAY, JUNE 5, :30 AM Wake-up Calls 6:45 AM Buses 1, 2, 3, and 4 clean-up rooms and load buses 6:45 AM Buses 5, 6, and 7 breakfast at National 4-H Center 7:00 AM Buses 1, 2, 3, and 4 breakfast at National 4-H Center 7:00 AM Buses 5, 6, and 7 clean-up rooms and load buses 8:15 AM Depart from National 4-H Center 8:45 AM Arrive and walk through Korean/Lincoln/Vietnam/WW II Memorials 11:00 AM Arrive at White House Promenade 11:30 AM Arrive at Ronald Reagan Food Court 12:30 PM Depart for I Spy Museum/Newseum-Unload at main entrance on Pennsylvania Ave.) 2:45 PM Leave I Spy Museum/Newseum-Load at main entrance on Pennsylvania Ave.) 5:30 PM Arrive at rest stop on Interstate 95 for Dinner 9-9:30 PM Arrive at Lawton C. Johnson Summit Middle School PLEASE NOTE: TIMES ARE APPROXIMATE, AND THIS ITINERARY IS TENTATIVE BASED ON LINES AND UNANTICIPATED DELAYS.

4 LAWTON C. JOHNSON SUMMIT MIDDLE SCHOOL WASHINGTON, DC, FIELD TRIP PERMISSION FORM NAME OF STUDENT: (Please print carefully) DESTINATION: PURPOSE: Washington, DC Eighth Grade Class Trip DATE OF TRIP: Monday and Tuesday, JUNE 4-5, 2018 COST OF TRIP: $ METHOD OF TRANSPORTATION: Bus TIME OF DEPARTURE: 6:30 AM, Monday, June 4, 2018 APPROXIMATE TIME PM, Tuesday, June 5, 2018 TEACHER IN CHARGE: Mr. Damen G. Cooper Students who participate in any field trip are the representatives of the Summit Public Schools. As such, students' personal appearance and behavior are expected to be consistent with the high standards that exist for our student population. It is understood that students are under the jurisdiction of the school for the entire trip and, therefore, all school policies and procedures apply. These include the following: 1. Full cooperation with teacher and parent chaperones is expected. 2. Any use or possession of alcohol, drugs or vaping paraphernalia will not be tolerated. Penalties for violation of existing Board of Education policies will result in a minimum of five days suspension, a medical examination, a chemical assessment and a parent conference. I give my son-daughter permission to accompany the group under the conditions set forth above. I understand that refunds will be given only in situations where a child is unable to attend the field trip because of illness or injury and only if sufficient funds are available. Parent Signature Student Signature We are aware that the cost of this trip may cause financial hardship for you or your family. Please be aware that the principal may have funds available to cover these expenses. Please contact Mr. Cooper at ext to make a request. It will be held in confidence. Please return this form, the notarized Health Record/ Medical Release form, and your $ deposit to Mrs. Hill in the Main Office.

5 LAWTON C. JOHNSON SUMMIT MIDDLE SCHOOL WASHINGTON, DC, TRIP MEDICAL ISSUES 1. Attached to this document is the Health Record and Medical Release Form. This form authorizes a licensed physician, surgeon, or other recognized hospital staff member to carry out emergency medical care deemed necessary in an emergency when normal permission is unavailable. This form must be notarized. Please note, any attorney can also serve as a Notary Public. Any student who does not have this form completed and notarized will not be permitted on the trip. For your convenience, Mrs. Laskowski, in the Middle School office, can notarize this form for you between the hours of 8:00 a.m. to 1:00 p.m. 2. Students who need to take any type of medication, whether a prescription drug or over-thecounter drug, must follow the normal school procedures and have completed the necessary forms. These are as follows: a. Regardless of whether the medication is self-administered or given by the school nurse, the parent must have the appropriate form completed and signed by a health care practitioner and parent. Included in this packet is a copy of each form. Please note, as an example, if you want your child to have the ability to take Tylenol, you must complete the Request for Administration of Medication by a School Nurse form. A health care practitioner must sign this form. This is a Board regulation! If you have already completed one or both of these forms for this school year and they are on file with the school nurse, it is not necessary to fill them out again. b. Except for potentially life-threatening illnesses, all medication must be carried and administered by the school nurse. Examples of life threatening medications include asthma inhalers, bee sting kits, or insulin. c. No student should pack any type of medication (either over-the-counter or prescription) in his/her luggage. All prescription medications must be in properly marked containers. 3. With the exception of a last-minute illness that requires a prescription or over-the-counter medication, these forms and ALL MEDICATIONS must be returned to the school nurse no later than Friday, May 11 th. All meds must be in their original packaging and/or bottles. Please make the necessary arrangements with your health care practitioner before this date. 4. Everyone will complete and have notarized the Health Record and Medical Release form (due back to Mrs. Hill by Friday, April 6 th ). Some will also fill out the yellow Request for Administration of Medication by a School Nurse form (due to the school nurse by Friday, May 11 th ). Only those few with special needs will complete the green Request for Self-Administration of Medication form (also due to the school nurse by Friday, May 11 th ). If the school nurse already has these completed forms on file for your child for this school year, it is not necessary for you to fill them out again.

6 LAWTON C. JOHNSON SUMMIT MIDDLE SCHOOL Washington, DC Monday and Tuesday, June 4-5, 2018 HEALTH RECORD Please print or type. Note to Parents: Please fill out this record as completely as possible, and return it to the Main Office. This information will be of valuable help to us in case of an emergency. Name of Student: of Birth: Gender: T-Shirt Size - Circle One (Please Note: Adult sizes only, there will be no youth sizes): XS S M L XL Address: Parent/Guardian Home Phone: Cell Phone: Work Phone: Foods that might make the student ill: Allergies other than food: Is the student subject to: Colds Sore Throats Sinus Infections Bronchitis Hay Fever Sleepwalking Asthma Fainting Spells Bedwetting Convulsions Ear Infections Other Information regarding special condition of student: Recent Illnesses: Recent Operations: Recent Injuries: Has student recently been under a doctor's care? Explain: of last Tetanus Booster: Medications being taken: For what? Arrangements for any medication, including over-the-counter medication, must be made with the school nurse. - OVER -

7 MEDICAL RELEASE This will authorize a licensed physician, surgeon or other recognized hospital staff member to carry out emergency medical care deemed necessary for my child/ward in an emergency when normal permission is unavailable. Physician's Name: Telephone No.: Name of Health Insurance Carrier: Policy No.: Name of Insured Party: Special Instructions: In case of emergency, notify: Telephone Home: Relationship: Telephone Work: Cell Phone: In case of emergency, notify: Telephone Home: Relationship: Telephone Work: Cell Phone: To the best of my knowledge, the above-named student is in good health. Parent/Guardian Signature: : STATE OF NEW JERSEY ) ) COUNTY OF UNION ) SWORN AND SUBSCRIBED TO before me on this day of 2018, be it remembered that personally appeared before me who I am satisfied is the parent or guardian named in the within Health Record and Medical Release form, and thereupon he/she acknowledges that he/she signed and delivered said act and deed for the uses and purposes therein expressed. Signature of Notary Public Please return this notarized form, the Permission form and your $ deposit to Mrs. Hill in the Main Office.

8 Received: LAWTON C. JOHNSON SUMMIT MIDDLE SCHOOL REQUEST FOR ADMINISTRATION OF MEDICATION BY A SCHOOL NURSE Washington, DC Monday and Tuesday, June 4 and 5, 2018 Student's Name Parent's Name Home Phone Work Phone Cell Phone/Beeper To be Completed by Health Care Practitioner: (Please print) of Birth I certify that the above-named student has the illness specified below, is physically fit to attend school and is free of contagious disease. I further certify that the student is not able to attend school if the medication is not administered during school hours. Diagnosis/purpose of medication: Medication: Prescribed dosage and time(s) to be taken: and time when medication will be discontinued: Possible side effects: I hereby certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Practitioner's Name (print) Practitioner's Signature Telephone Number Office Address To be Completed by Parent or Legal Guardian: The school nurse is requested to administer to the medication prescribed by the health care practitioner listed above. (pupil's name) FOR SCHOOL USE ONLY: Parent Signature Approved Denied Principal's Signature y Return this form AND ALL MEDICATIONS to the school nurse by Friday, May 11, 2018.

9 LAWTON C. JOHNSON SUMMIT MIDDLE SCHOOL REQUEST FOR SELF-ADMINISTRATION OF MEDICATION Washington, DC Monday and Tuesday, June 4 and 5, 2018 Received: Student's Name Parent's Name Home Phone Work Phone of Birth Cell Phone/Beeper To be Completed by Health Care Practitioner: (Please print) I certify that the above-named student has the illness specified below and that this illness is potentially life-threatening. I further certify that the student is capable of, and has been instructed in, the proper method of self-administration of medication. Diagnosis/purpose of medication: Medication: Prescribed dosage and time(s) to be taken: and time when medication should be discontinued: Possible side effects: Conditions under which self-administration will take place: Independently (child must have had training and be proficient in self-administering medication.) Trainer's name of Training Under the supervision of an adult designated by the principal. Medication should be: In nurse's possession In student's possession Practitioner's Name (print) Practitioner's Signature Telephone Number Office Address To be completed by parent/guardian: I give my permission for my child to self-administer the medication described above. Parent Signature -OVER-

10 Authorization for Self-Administration of Medication To be completed by parent/guardian: I/we hereby authorize the Summit Board of Education to allow our child, to self-administer the medication described herein. We acknowledge that the Summit Board of Education and its agents and the employees will incur no liability as a result of any injury arising from the self-administration of medication requested herein. We hereby agree to indemnify and hold harmless the Summit Board of Education, the Summit School district, its agents and employees against any claims arising out of the self-administration of medication requested herein. We will notify the school nurse if this medication is no longer required or self-administration is no longer directed by the health care practitioner. We understand that permission for self-medication is effective only for the school year for which it is granted, and that such permission may be renewed for each subsequent year only upon the submission of a completed request form each year. Mother Father Guardian Guardian g Return this form AND ALL MEDICATIONS to Ms. McDonald by Friday, May 11, 2018.

11 TRAVEL PROCEDURES 1. All students must bring their suitcases to school Monday morning, June 4 th. Students on Buses 1, 2, 3, and 4 will report to the Main Gym. Students on Buses 5, 6, 7, and 8 will report to Mueller s Gym. ALL BAGS MUST BE IN THE DESIGNATED GYM BY 6:00 AM ON MONDAY, JUNE 4 TH, FOR A LUGGAGE CHECK! 2. Buses will leave school PROMPTLY at 6:30 AM on Monday, June 4 th. 3. If a student has a problem with motion sickness, please inform us before the trip begins. 4. Parents and guardians are responsible for providing any necessary medication and the appropriate permission forms to our school nurse prior to the trip. 5. There will be a bathroom on the bus. 6. Students MUST sit in their seats at all times. No student may be in the aisles or sitting on the arms of the seats. 7. THE WORD OF THE CHAPERONE IS LAW!!! This is not open for discussion, comment, debate or question. Any student who is disrespectful or talks back to a chaperone will be severely reprimanded up to and including a phone call to parents requesting that they come to Washington to bring the student home. 8. Only small portable electronic music players with earphones will be allowed on the trip. Please be advised that these items will be the responsibility of the student. These items should be well hidden in rooms as theft is always a possibility. 9. Students will be permitted to bring cell phones on the trip. Cell phones can be used on the bus ride and as we tour the city. Cell phones will be collected by the chaperones upon arrival at the National 4-H Center. All phones will be put in a plastic bag and stored in either Mr. Cooper s room or Mrs. Subervi s room. Cell phones will be returned to students the following morning as we board the buses.

12 PACKING INSTRUCTIONS 1. Each student and chaperone will be permitted ONE (1) full-sized suitcase and backpack. 2. Each suitcase and backpack must have an identification tag affixed to the handle with the student's name, address and Lawton C. Johnson Summit Middle School on it. In addition, it is a good idea to have another tag inside the bag in case the outer one gets ripped off and the bag gets lost. 3. The weather in Washington in May is unpredictable. It can be very warm or chilly (65-95 ), so you should have proper clothing. 4. Each student will be provided with TWO (2) different colored T-shirts to be worn on the trip. ALL STUDENTS MUST WEAR THESE T-SHIRTS FOR DAYTIME ACTIVITIES ON MONDAY AND TUESDAY. Specific colors will be determined before the trip and children will be made aware of which shirt to wear on each day. On Monday, June 4: ALL STUDENTS must arrive to school in T-shirts provided or they will not be permitted on the bus. On Tuesday, June 5: ALL STUDENTS must pack and wear the second provided T- shirt. Failure to pack and wear the shirt may result in removal from your walking group. Students may NOT modify, cut or draw on T-shirts provided for the trip. 5. While at the 4-H Center the following rules will apply: Halter-tops, cutoffs and short T-shirts are not allowed. Students wearing improper attire will not be allowed to participate in the evening activities. Recommended clothing includes: Shorts Summer weight Shirts Sneakers or Sandals Lightweight Jacket Sweater/Sweatshirt 6. EVERY STUDENT should have and use sunglasses, sunscreen or sunblock-type lotion. Remember that the face, back of the neck, thighs, and the tops of hands and feet are the most vulnerable areas to the sun. Make sure these areas have lots of lotion yes, even for those who tan easily. You should bring the lotion on the bus with you. 7. Students should make sure that they have comfortable walking shoes. - OVER -

13 ACTIVITIES Chaperones will supervise all activities. Students may not wander off or take a walk to a shopping area or restaurant away from the group. Students will always travel in groups with a chaperone. It is the student's responsibility to be in the assigned areas or on the buses at the appropriate time. When in museums or at different sites, students should be sure to plan their time to allow for returning to the original point of departure. It is imperative that we be on time for all activities. Lateness will not be tolerated and will result in the loss of privileges for a time period that will be determined by the chaperones. Students should enjoy themselves, but should remember that they are also in the company of other visitors and people who want their rights respected. No one likes a loud and obnoxious teenager! Students should be polite and considerate. We have arranged to have a large group photo taken. Each student will receive a copy as a souvenir. There will be a dance held at the 4-H Center on Monday night. SPENDING MONEY Since all meals are included, students do not have a need to carry large amounts of money. Experience has shown that $20-30 is sufficient (but not necessary) for spending money. MEALS Students may bring snacks with them for the bus ride and 4-H Center stay. Monday, June 4: Breakfast - All students are to eat breakfast at home the morning of the trip. It will be a long bus ride, and it is imperative that each student has breakfast before leaving home. Lunch - Students will be eating lunch on the bus that day. Students must bring a bag lunch and a beverage with them. Beverages should be in either plastic or metal containers NO GLASS CONTAINERS! Dinner - Students will have dinner at the 4-H Center. Arrangements will be made for those students who have special dietary needs. Parents are requested to notify our office in writing if this is a problem. Tuesday, June 5: Breakfast will be served at the 4-H Center before we start the day. Lunch will be provided. Dinner will be at the Delaware House rest stop on the way home. - OVER -

14 TIMELINE FOR PLANNING Friday, April 6 We are asking for a firm commitment on the part of students and parents. Monday, May 7 Friday, May 11 May Monday, June 4 Tuesday, June 5 The Permission Form is due at this time The notarized Health Record and Medical Release form is also due at this time. We are asking for an initial deposit of $ Checks should be made payable to Lawton C. Johnson Summit Middle School. If this poses a hardship, please contact Mr. Cooper at (908) , extension Due date for any outstanding balances. Request for Administration of Medication by School Nurse (yellow form) and Request for Self -Administration of Medication (green form) are due to Ms. McDonald. ALL MEDICATIONS IN ORIGINAL PACKAGING AND/OR BOTTLES. Final medical issues brought to Ms. McDonald s attention. Please note: Your child cannot take any over-the-counter medication without a doctor s approval. Room assignments Bus and chaperone assignments Report to chaperone at 6:00 a.m. for luggage check. Depart from Middle School parking lot at 6:30 a.m. SHARP!! Return at approximately 9:00 p.m. - OVER -

15 FREQUENTLY ASKED QUESTIONS 1. What time do we leave/return? We leave at approximately 6:30 a.m. on Monday, June 4 th. Students must report to school no later than 6:00 a.m. We will return at approximately 9:00 p.m. on Tuesday, June 5 th. 2. How much luggage can I bring with me? One piece of luggage labeled with student's name and Lawton C. Johnson Summit Middle School that can be stored in bus storage compartments and a backpack for snacks, sunscreen, etc., that you can take on board the bus. 3. How will bus/room assignments be determined? You will be assigned to buses by your room assignment. Each bus will accommodate at least 49 passengers. Approximately students will be assigned to each bus. Each room will hold three or four students. Chaperones will not stay in student rooms. Room assignments will be developed during May. We will make every effort to assign friends to the same room. However, once established, room assignments cannot be easily changed. When we start the process of assigning roommates, students will be given the opportunity to provide us with their input. 4. Where will we stay in Washington, DC? We will be staying at The National 4-H Center located in Chevy Chase, Maryland. We will be assigned to specific floors. We will also be hiring our own security for the evening. This is in addition to the security provided by The Center. We are planning dinner and a dance for the evening. 5. Why Washington, DC? As the center of our nation's government, Washington, DC, provides a variety of educational opportunities that are not readily available in many other locations. The various sites visited are rich with history and provide hands-on experiences for students. As an eighth grader, students study our system of government and will have the opportunity to see much of what you have learned. 6. How much will the entire trip cost? The trip cost is $ per student. Please note, the trip includes all meals and a color group picture. Students will not need any additional money except for souvenirs. 7. If I can't afford the trip, is it possible for me to still go? Yes! It is our hope that anyone who wants to go will be given the opportunity. Do not let lack of funds keep you from participating. Please see Mr. Cooper so a plan to assist you can be worked out. All contacts will be kept in strict confidence. OVER

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